title: Explosive gas formation during transurethral resection of the prostate (TURP).
abstract: Intravesical explosion during transurethral resection of the prostate (TURP) is an extremely rare event. It might be associated with various degrees of bladder injury ranging from simple mucosal tear to rupture of the bladder. It is believed that intravesical explosion occurs due to formation of explosive gases in the bladder during TURP and its admixture with air. One case of intravesical explosion during TURP resulting in complete intra- and extraperitoneal bladder rupture at our institution is described. The management of this dreaded complication involves open surgery. Although rare, this complication is preventable by taking precautions.
authors.affiliation: Department of Urology, University Hospital Grosshadern, Marchioninistrasse 15, 81377 Munich, Germany. Michael.Seitz@med.uni-muenchen.de
authors.forename: M
authors.initials: M
authors.lastname: Seitz
authors.forename: I
authors.initials: I
authors.lastname: Soljanik
authors.forename: P
authors.initials: P
authors.lastname: Stanislaus
authors.forename: R
authors.initials: R
authors.lastname: Sroka
authors.forename: C
authors.initials: C
authors.lastname: Stief
mesh_terms: D000368:Aged; D005740:Gases; D006801:Humans; D006859:Hydrogen / Q000737:chemistry; D006868:Hydrolysis; D007431:Intraoperative Complications / Q000175:diagnosis* / Q000209:etiology; D008297:Male; D010100:Oxygen / Q000737:chemistry; D011467:Prostate / Q000473:pathology; D011470:Prostatic Hyperplasia / Q000473:pathology / Q000601:surgery*; D012421:Rupture / Q000209:etiology* / Q000601:surgery; D020728:Transurethral Resection of Prostate / Q000379:methods*; D001743:Urinary Bladder / Q000293:injuries / Q000601:surgery
chemical_list: D005740:Gases; D006859:Hydrogen; D010100:Oxygen